International Journal of Clinical & Medical Images

Images in abdomen

Foetal Hepatoblastoma

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A 39-year-old multigravida woman at 24 weeks of gestation with polyhydramnios was referred to our hospital. Prenatal ultrasonography revealed a foetus with polyhydramnios, a small stomach pouch, and a large abdominal circumference with an isoechoic space occupying lesion in the liver. Two-dimensional power Doppler sonography depicted the corresponding vascular distribution surrounding the tumour (Figure 1). Foetal magnetic resonance imaging at 26 weeks of gestation revealed a 5cm mass in the left lobe of the liver and 2cm polylobular tumour located in the hepatic portal region (Figure 2). Foetal hydrops had progressed requiring repeated amnio reductions. A 1, 325gm female neonate was delivered via caesarean section at 27 week of gestation due to premature rupture of the membrane. The neonate died at 46 minutes after birth. Autopsy confirmed a diagnosis of hepatoblastoma during the foetal period.